| Doctor Name: | MR. CENOBIO CHAVEZ |
| NPI Number: | 1154600971 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ATP |
| License Number: | 218741107 |
| Business Practice Address: | 7500 N Mesa St 217 El Paso, TX - 799123501 |
| Business Phone Number: | 9158332272 |
| Business Fax Number: | 9158332275 |
| Mailing Address: | 7500 N. Mesa, 217 EL PASO |
| State: | TX |
| Postal Code: | 799123523 |
| Phone Number: | 9158332272 |
| Fax Number: | 9158332275 |
| NPI Enumeration Date: | 08/10/2011 |
| NPI Last Update Date: | 12/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 218741107 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |